Individual
LISA ANN NETTEN-FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
411 LAUREL ST, SUITE 3262, DES MOINES, IA 50314-3017
(515) 643-5100
(515) 643-5150
Mailing address
3600 30TH ST, DES MOINES, IA 50310
(515) 699-5999
(515) 643-5150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1522
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36208
WELLMARK
IA
Enumeration date
09/13/2006
Last updated
03/14/2016
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